DR. BRYCE ALEXANDER WALLACE PHARMD
NPI 1316722259
Pharmacist in Portageville, MO

Active since August 29, 2023
222 E MAIN ST, PORTAGEVILLE, MO 63873(573) 379-5460(573) 379-5459 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bryce Alexander Wallace Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYCE ALEXANDER WALLACE PHARMD (NPI 1316722259) is an individual pharmacist in Portageville, Missouri, licensed in Missouri (2021038939) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1316722259
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. BRYCE ALEXANDER WALLACECredential: PHARMD
Location Address222 E MAIN STPortageville, MO 63873-1614
Mailing Address101 Richland RdPortageville, MO 63873-9102 · (573) 724-2627
Fax(573) 379-5459
Sole ProprietorNo
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
NPI 1316722259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2021038939
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
222 E MAIN ST, Portageville, MO 63873

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
222 E MAIN ST
PORTAGEVILLE, MO 63873
Durable Medical Equipment & Medical Supplies
222 E MAIN ST
PORTAGEVILLE, MO 63873
Pharmacy (Long Term Care Pharmacy)
222 E MAIN ST
PORTAGEVILLE, MO 63873
Pharmacist
222 E MAIN ST
PORTAGEVILLE, MO 63873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryce Wallace's NPI number?

The NPI number for Bryce Wallace is 1316722259. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Bryce Wallace located?

Bryce Wallace practices at 222 E Main St, Portageville, MO 63873. The listed phone number is (573) 379-5460.

What is Bryce Wallace's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Bryce Wallace was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.